FAMIS
Family Access to Medical Insurance Security Plan
ABOUT FAMIS
FAMIS is Virginia’s health insurance program for children.
It covers all of the medical care growing children need to avoid getting
sick, plus the medical care that will help them get better if they do get
sick or hurt.
Services Covered by FAMIS
- Doctor Visits
- Well-baby checkups
- Hospital visits
- Vaccinations
- Prescription medicine
- Test and X-Rays
- Dental care
- Emergency care
- Vision care
- Mental health care
Cost to the Family
There are no enrollment fees or monthly premiums for FAMIS.
For some services, the family will have to pay a co-payment. Most
co-payments are $2.00 or $5.00. Other services, like regular
check-ups, are free.
Who is eligible for FAMIS?
Your children may be eligible if they:
- Live in Virginia
- Are under age 19
- Don’t have health insurance now and haven’t had it in the past 4 months (some exceptions apply)
- Are not eligible for the Virginia state employee health insurance plan
- Are not eligible for FAMIS Plus (also known as Medicaid)
- Live in families meeting FAMIS income guidelines
- Are United States citizens or certain legal immigrants
FAMIS
Income Limits – 200% FPL (Gross Income)
|
|
|
| |
Family Size |
|
Income Limits
|
|
| |
|
|
Year
|
Month
|
|
| |
1 |
|
$20,420
|
$1,702
|
|
| |
2 |
|
$27,380
|
$2,282
|
|
| |
3 |
|
$34,340
|
$2,862
|
|
| |
4 |
|
$41,300
|
$3,442
|
|
| |
5 |
|
$48,260
|
$4,022
|
|
| |
6 |
|
$55,220
|
$4,602
|
|
| |
7 |
|
$62,180
|
$5,182
|
|
| |
8 |
|
$69,140
|
$5,762
|
|
| |
Each additional family member |
|
$6,960
|
$580
|
|
|
For more information about the FAMIS
program, call toll-free: 1-866-87FAMIS (1-866-873-2647)
TDD users ONLY call, 1-888-221-1590
8:00 am to 7:00 pm, Monday–Friday
9:00 am to 12:00 pm, Saturday
or contact your local Department of Social Services.
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